Figueiroa Barbara de Queiroz, Vanderlei Lygia Carmen de Moraes, Frias Paulo Germano de, Carvalho Patricia Ismael de, Szwarcwald Celia Landmann
Secretaria de Saúde do Estado de Pernambuco, Recife, Brasil.
Cad Saude Publica. 2013 Mar;29(3):475-84. doi: 10.1590/s0102-311x2013000300006.
This article analyzes the coverage of the Mortality Information System (SIM) in Olinda, Pernambuco State, Brazil, in the year 2008. The study involved secondary data from SIM on deaths (excluding stillbirths) in residents of the municipality and primary data from the Active Search of Deaths and Births in the Northeast and Legal Amazonia, which collected the events from multiple sources and located deaths that had not been reported to the system. Coverage was calculated as the number of deaths recorded in SIM divided by the total (SIM + active search). The study showed 94.8% coverage and detected an important contribution by notary public offices to the identification of deaths that were missing from the SIM. Of these unreported deaths, 29.7% occurred in health services, 49% occurred at home with death certificates signed by private physicians, and 25.5% had been attested by the forensic examiner's office. The method allowed calculating the coverage rate for the Mortality Information System in a municipality in the metropolitan area. Despite the low proportion of deaths missing in the system, the study detected problems with data collection and flow.
本文分析了2008年巴西伯南布哥州奥林达市死亡信息系统（SIM）的覆盖情况。该研究涉及来自SIM的关于该市居民死亡情况（不包括死产）的二手数据，以及来自东北和合法亚马逊地区死亡与出生主动搜索的一手数据，后者从多个来源收集事件并找出未向该系统报告的死亡情况。覆盖率的计算方法是将SIM记录的死亡人数除以总数（SIM记录的死亡人数 + 主动搜索发现的死亡人数）。研究显示覆盖率为94.8%，并发现公证办公室对识别SIM中缺失的死亡情况做出了重要贡献。在这些未报告的死亡案例中，29.7%发生在医疗服务机构，49%发生在家中且有私人医生签署的死亡证明，25.5%经过法医办公室认证。该方法能够计算大都市地区一个市的死亡信息系统覆盖率。尽管系统中缺失的死亡比例较低，但研究仍发现了数据收集和流动方面的问题。
